Provider Demographics
NPI:1811758311
Name:SUNSHINE MEDICAL SUPPLIES
Entity type:Organization
Organization Name:SUNSHINE MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HAIK
Authorized Official - Middle Name:
Authorized Official - Last Name:KESHISHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-203-1053
Mailing Address - Street 1:7200 VINELAND AVE UNIT 223
Mailing Address - Street 2:
Mailing Address - City:SUN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91352-5088
Mailing Address - Country:US
Mailing Address - Phone:747-203-1053
Mailing Address - Fax:
Practice Address - Street 1:7200 VINELAND AVE UNIT 223
Practice Address - Street 2:
Practice Address - City:SUN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91352-5088
Practice Address - Country:US
Practice Address - Phone:747-203-1053
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies